Who and when can I call regarding my clinic bill?
For questions regarding a clinic (red) bill, please call 641-621-2241 during the hours of 6:30 am – 4:30 pm, Monday through Friday.
For questions regarding a hospital (blue) bill, please call 641-628-6601 during the hours of 6:30 am – 4:30 pm, Monday through Friday.
Will the hospital and clinic bill my primary and secondary insurance?
Yes. As a courtesy to you, we will submit bills to all of your insurance companies. You will need to provide us with complete, accurate information on all insurances. Please be sure to bring the most recent copy of your insurance card with you.
Some insurance companies require additional information from the patient before they process a claim. In this instance, it may be necessary for you to contact your insurance company and provide them with that information. If you do not contact them with the requested information, your claim will be denied and you will be responsible for payment.
Why did I receive two statements?
Services for the clinic and hospital appear on separate statements. The clinic charges (including charges from our clinics outside of Pella) are billed on the red statement. The hospital’s facility charges are billed on the blue statement. If you were seen in Emergency, the charges for the physician who examined you are billed on the red bill for the clinic. The charges for the room and any other tests, medications or supplies are billed on the blue hospital statement.
Why are my labs being billed as outpatient services on the hospital bill?
Charges are billed by the lab that provided the service. If your lab was drawn in the clinic, the drawing fee and the charges for the lab tests will be billed on your hospital statement. If the tests were sent out to an out-of-town facility, you will be billed directly by that facility.
When I receive two bills, do I need to send two separate checks?
Yes. Our accounting systems are separate. To ensure your account is credited properly, you will need to send a check with each statement. Please be sure to include the top tear-off portion of each statement with your check to make sure your payment is credited to the correct account.
Will I receive an itemized statement for hospital services?
The first statement you receive after a visit will be itemized. Any statements following that will be a summary. If you would like another itemized statement, please call 641-628-6601 between the hours of 6:30 am – 4:30 pm, Monday through Friday.
Why am I being asked to pre-pay for my surgical procedure?
Starting the cost conversation early is important because most insurance policies today have significantly higher co-pays and deductibles resulting in larger out-of-pocket expenses for you. Pella Regional is attempting to minimize the after-service surprise by providing an estimate and asking for pre-payment based on your specific insurance situation and your doctor's recommended procedure. Staff has found that patients prefer to be informed of their choices up front and those who pay in advance have less to worry about with billing as they recover.
Is there financial assistance if I can’t pay my bill?
Yes. We understand and respect the stress and strain that is created by medical bills. Pella Regional can provide financial assistance to individuals who qualify. Support is based on need, and eligibility must be demonstrated.
I stayed overnight in the hospital. Why is this billed as an outpatient stay?
The physician who ordered your service determined that your condition did not meet the criteria for an inpatient admission. The physician's written order determines if we bill as an inpatient or an outpatient stay.
Medicare and my supplement always pay my bill in full. Why do I have a balance due?
Medicare will not pay for self-administered drugs given to a patient on an outpatient basis. If you were in the emergency room or were an observation patient, you may be required to pay for drugs that Medicare determines are self-administered. Medicare also has medical necessity checks on certain outpatient tests. If Medicare has determined your test to be not medically necessary, you will be required to sign an Advanced Beneficiary Notice prior to the test being performed. The charge will then be your responsibility.
Must I register each time I come to the hospital?
Yes. We are required to submit a separate bill each time you come to the clinics or hospital for services.
Must I show my insurance card(s) each time I come in for services?
Yes. We require a copy of your most recent insurance card(s) each time you are present for service to ensure that we are billing the correct insurance company. Insurance information can change from month to month, so it is important that we have a copy for correct claims filing information.
Why should I contact my insurance company if they do not pay my bill?
Patient Accounts will make every effort to resolve your account with your insurance company. Occasionally, we will be unable to resolve the issue with your carrier and will need your assistance.
How do I know if my health plan requires a referral or pre-authorization for a service?
It is your responsibility to contact your insurance company to find out if a pre-authorization is needed. Your benefit book or provider directory should provide this for you. We recommend you contact your insurance company prior to any procedure to verify whether a referral or pre-authorization is needed.